| NPI | 1700899432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VOGT President 402-578-9734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 714) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-04-20 |